Provider Demographics
NPI:1700623550
Name:HOPEFUL HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:HOPEFUL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANJIKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:223-316-7452
Mailing Address - Street 1:2243 NANCY LEE AVE
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-5792
Mailing Address - Country:US
Mailing Address - Phone:223-316-7452
Mailing Address - Fax:
Practice Address - Street 1:2243 NANCY LEE AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5792
Practice Address - Country:US
Practice Address - Phone:223-316-7452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care